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Application_2021-1314CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1025174 Applicant First Name Last Name Penney Christianson Company Name Seatown Electric Corp. Number Street 4200 78th St SW Apartment or Suite Number E-mail Address permits@seatownservices.com City State Zip Mukilteo WA 98275 Phone Number Extension 4255106480 Contractor Company Name SEATOWN ELECTRIC HEATING & AIR Number Street 4200 78th St SW Apartment or Suite Number City State Zip Mukilteo WA 98275 Phone Number Extension 4255106480 State License Number License Expiration Date SEATOEH821 DG 3/7/2022 UBI # E-mail Address FD:3447F;94 permits@seatownservices.com Project Location Number Street 21313 93RD PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00781600000900 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Tricia Robert Number Street 21313 93RD PL W Apartment or Suite Number City State EDMONDS WA Zip 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 9/24/2021 Submitted By: Penney Christianson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1025174 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, Internal. Master Bath, Garage) Page 2 of 2